Lateral spine plate with set screw locking of bone screws

ABSTRACT

A lateral spine implant has a plate, configured bone screws, and configured setscrews providing locking of bone screw movement. The plate has at least two identically configured bone screw bores, each one with a spherical seat at a bottom opening, and threads around the inner circumference of a top opening. Each setscrew has a cylindrical body with external threads that mate with inner threads of the bone screw bore in order to affix the setscrew to the plate. A threaded spherical pocket is provided in a bottom of the setscrew body which conjoins with the spherical bone screw head to secure the setscrew with the bone screw head, fixing bone screw orientation/angulation. The bone screw head has a formation or formations about at least a portion of its exterior circumference that cooperate with the threads of the spherical pocket of the plate in order to fix bone screw orientation/angulation.

CROSS-REFERENCE TO RELATED PATENT APPLICATIONS

This application is a continuation of U.S. application Ser. No.15/438,569, filed Feb. 21, 2017, which claims the benefit of andpriority to U.S. Provisional Application No. 62/298,157, filed Feb. 22,2016, both of which are hereby incorporated herein by reference in theirentireties.

BACKGROUND

The present invention relates to orthopedic implants such as plates andscrews for the spine and, more particularly to lateral spine plateimplants having bone screw locking features.

People contend with spine issues as a result of age, disease, trauma,and congenital and acquired complications and conditions. While some ofthese issues can be alleviated without surgery, other issues respondbetter to surgery. In some cases, surgery may include installing anorthopedic implant.

One type of orthopedic implant for the spine is a plate or plateconstruct along with bone screws for attaching the plate/plate constructto vertebrae of the spine. Various spine plates have been developed overthe years for general, particular and specific use. There are spineplates for anterior attachment to the spine, spine plates for posteriorattachment to the spine, and spine plates for lateral attachment to thespine. Spine plates are attached to vertebrae by bone screws.

With all types of spine plates including laterally attached (lateral)spine plates, it is important to stop or at least limit rotation of thebone screws once installed. Rotation of the bone screws after attachmentof the spine plate compromises the integrity of the spine plate and itsability to perform its intended function of preventing horizontalmovement of the vertebral bodies.

While various lateral spine plates have been designed over the years tocombat bone screw rotation, they are deficient in many respects. It istherefore an object of the present invention to provide a lateral spineplate that overcomes the deficiencies of the prior art.

SUMMARY

A lateral spine plate implant is characterized by a lateral spine platethat utilizes configured setscrews, configured bone screw bores, andconfigured bone screws to inhibit rotation and/or fix orientation of abone screw received in the lateral spine plate.

The lateral spine plate has at least two at least similar, butpreferably, although not necessarily, identical, configured bone screwbores, each one with a rounded seat that preferably, but notnecessarily, has circumferential threads at a bottom opening of the bonescrew bore/rounded seat, and circumferential threads around the innerperiphery of a top opening of the bone screw bore. Each one of theconfigured bone screw bores is designed to cooperate with a configuredhead of a bone screw to allow up to 360° angulation and fixation of thebone screw about the bone screw bore.

Each setscrew has a cylindrical body with threads around its externalcircumference that are configured to mate with the circumferentialthreads of the inner periphery of the top opening of the bone screw borein order to affix the setscrew to the lateral spine plate. Each setscrewfurther has a configured socket in a top of the setscrew body, and adomed or spherical pocket in a bottom of the setscrew body. A bottom ofthe socket and a top of the pocket are preferably, but not necessarily,in communication with each other. Threads are provided around the innercircumference of the domed pocket which cooperate with the bone screwhead to secure the setscrew with the bone screw head in order to fixbone screw orientation/angulation.

The bone screw has a dome shaped head and a threaded shank. The head hasa configured socket in a top thereof, and a formation or formationsabout at least a portion of its exterior circumference. The formation(s)of the bone screw head cooperate with the threads of the innercircumference of the domed pocket in order to fix bone screworientation/angulation. In one form, the formation(s) compriseserrations about its exterior surface. In another form, the formation(s)comprise knurling around its exterior surface. In yet another form, theformation(s) comprise one or more helical cutouts about its exteriorsurface. In a still further form, the formation(s) comprise threading.All of these formations or features provide a greater resistance torotation once the bone screw head is fully seated in the setscrewpocket. The configurations (formation(s) or features) of the bone screwhead and the setscrew pocket allow the two components to seize/bind withone another when the setscrew is threaded down onto the top of the bonescrew head.

The lateral spine plate has a general curve to its body with a bonescrew bore on either end, each bone screw bore preferably, but notnecessarily, having a raised rim. A threaded hole in the mid portion ofthe lateral spine plate body accepts any necessary instrument(s) forinsertion, placement, adjustment and holding of the lateral spine plateduring installation/implantation.

For installation/implantation, the lateral spine plate is placed on topof the vertebral bodies lateral or anterolateral. Bone screws are thenplaced into the bone screw bores until they are fully seated in theseat. A setscrew is threaded into each bone screw bore and on the top ofthe bone screw head. Each setscrew provides compression to the bonescrews/bone screw heads in order to engage theserrations/knurling/threading/helical cutout formation(s) of the bonescrew head into the bone screw pocket of the plate to set bone screworientation. This inhibits rotation of the bone screws relative to theplate, thus preventing any horizontal movement of the vertebral bodies.

Further aspects of the present invention will become apparent fromconsideration of the drawings and the following description of forms ofthe invention. A person skilled in the art will realize that other formsof the invention are possible and that the details of the invention canbe modified in a number of respects without departing from the inventiveconcept. The following drawings and description are to be regarded asillustrative in nature and not restrictive.

BRIEF DESCRIPTION OF THE DRAWINGS

The features of the invention will be better understood by reference tothe accompanying drawings which illustrate forms of the presentinvention, wherein:

FIG. 1 is an exploded isometric view of the components of the presentlateral spine plate implant;

FIG. 2 is an isometric view of the lateral spine plate implant of FIG.1, assembled;

FIG. 3 is an enlarged, side sectional view of the assembled lateralspine plate implant of FIG. 1 with only the upper portion of the bonescrews shown;

FIG. 4 is an enlarged side view of the head and partial shank of oneform of the bone screw of the present lateral spine plate implant;

FIG. 5 is an enlarged side view of the head and partial shank of anotherform of the bone screw of the present lateral spine plate implant;

FIG. 6 is an enlarged side view of the head and partial shank of anotherform of the bone screw of the present lateral spine plate implant; and

FIG. 7 is an enlarged sectional view of the setscrew of the presentlateral spine plate implant.

DETAILED DESCRIPTION

Referring to FIGS. 1 and 2, an exemplary form of a lateral spine plateimplant, generally designated 10, is shown fashioned in accordance withthe present principles, with FIG. 1 depicting components of the lateralspine plate implant 10 in an exploded view, and FIG. 2 depicting thecomponents of the lateral spine plate implant 10 in an assembled view.The lateral spine plate implant 10 is made from a biocompatible materialsuch as, but not limited to, titanium, stainless steel, an alloy oftitanium or steel, or other. The lateral spine plate implant 10 ischaracterized by a spine plate 12, two preferably, but not necessarily,identical bone screws 13, and two preferably, but not necessarily,identical setscrews 14. The lateral spine plate implant 10 is for anyportion of the spine. Lateral spine plates of more than two bone screwbores may also be fashioned in accordance with the present principles.

The spine plate 12 is configured for lateral attachment to adjacentvertebrae. The spine plate 12 is characterized by a body 16 having afirst boss 17 on one end of the body 16, and a second boss 19 on anotherend of the body 16, the nomenclature first and second being arbitraryhere and throughout. The first boss 17 has a first bore 18 defining anupper opening area and a lower opening area. A first seat 21 is definedat the lower opening area of the first bore 18 by an annular, radiallyinwardly angled lower wall designed for reception of a bone screw and,particularly, the head of a bone screw, the radially angled lower walldefining the first seat at the bottom opening of the bone screw bore 18.The second boss 19 has a second bore 20 defining an upper opening areaand a lower opening area. A second seat 23 is defined at the loweropening area of the second bore 20 by an annular, radially inwardlyangled lower wall designed for reception of a bone screw and,particularly, the head of a bone screw, the radially angled lower walldefining the second seat at the bottom opening of the bone screw bore20.

The upper opening area of the first screw bore 18 has threads orthreading 22 around its inner circumferential surface or wall. The upperopening area of the second screw bore 20 also has threads or threading24 about its inner circumferential surface or wall. The inner threads ofthe upper opening areas of the first and second bores 18, 20 are sizedto receive outer threads 44 of a setscrew 14. The inner surface of thefirst seat or lower opening area 21 of the first bore 18 of the plate 12shown in FIGS. 1-2 is generally smooth, but may be textured, configured,or otherwise non-smooth, if desired. The inner surface of the secondseat or lower opening area 23 of the second bore 20 of the plate shownin FIGS. 1-2 is generally smooth, but may be textured, configured, orotherwise non-smooth, if desired. As an example, the inner surface orwall of the first and second seats or lower opening areas 21, 23 of thefirst and second bores 18, 20 of the plate 12 a of FIG. 3, has threads82, 84 around its circumference. Other formations may be used.

The plate body 16 has a general arch or curvature with a threaded bore25 in a mid-section or portion of the plate body 16 to accept necessarytools and/or instruments for insertion, placement and manipulation ofthe plate during surgical installation/implantation. Otherconfigurations may be used. The bone screw bores 18, 20 has a rim 72, 73that is preferably, but not necessarily, raised relative to other plateportions as shown. The openings of the bone screw bores may be rimlessor flush.

Each bone screw 13 is characterized by a rounded, spherical, ordome-shaped head 30 having a socket 31 in a top or upper surface 35thereof. The socket 31 is configured in a star or hexagonal pattern forreceipt of a like instrument or tool (not shown) for driving/installingthe bone screw 13. Other configurations may be used and arecontemplated. The bone screw 13 has a shank or shaft 28 with externalthreads/threading configured to drive into (be received by) a vertebralbody (vertebra). The shank 28 terminates in a preferably, but notnecessarily, pointed distal tip 29.

The shape of the head 30 defines an upper area or circumference 81, anda lower area or circumference 83. At least a portion of the outercircumference of the head 30 is preferably, but not necessarily,configured with one or more features or formations that aid in limiting,inhibiting and/or preventing rotation of the bone screw 13 relative tothe spine plate 12 once the bone screw 13 has been installed. Thefeatures and/or formations do not need to extend the entirecircumferential area of the head 30. Any such features and/or formationsmay extend about one or more portions or areas of one or more portionsor areas of the circumference. Other patterns or areas may be used asdesired.

FIG. 4 depicts one type of anti-rotationfeature/formation(s)/configuration 13 a for the bone screw head 30. Thehead 30 of the bone screw 13 a has serrations or the like 32 about atleast a portion of its peripheral surface. It should be appreciated thatthe number, size and/or spacing of the serrations 32 may be changed asdesired. The formation(s) may also aid in fixing bone screw angulationand/or orientation.

FIG. 5 depicts another type of anti-rotationfeature/formation(s)/configuration 13 b for the bone screw head 30. Thehead 30 of the bone screw 13 b has knurling 33 about at least a portionof its peripheral surface. It should be appreciated that the number,size and/or spacing of the knurling 33 may be changed as desired. Theformation(s) may also aid in fixing bone screw angulation and/ororientation.

FIG. 6 depicts another type of anti-rotationfeature/formation(s)/configuration 13 c for the bone screw head 30. Thehead 30 of the bone screw 13 c has a helical cutout 34 about at least aportion of its peripheral surface. It should be appreciated that thenumber, size and/or spacing of the helical cutout 34 may be changed asdesired. Other types of anti-rotation features/configurations may beused and are contemplated such as, but not limited to, threads. Theformation(s) may also aid in fixing bone screw angulation and/ororientation.

Referring now to FIG. 7, a setscrew 14 is shown in sectional. Eachsetscrew 14 is preferably, but not necessarily, identical, and ischaracterized by a generally cylindrical body 38 with a generally flatupper or top surface 39 and a generally flat lower or bottom surface 41.The outer circumferential surface of the body 38 has externalthreads/threading 44 configured to mate with the internalthreads/threading 22, 24 of the bone screw pockets 18, 20. Theperipheral edge 45 of the upper surface 39 is preferably, but notnecessarily, downwardly angled, slanted, or beveled. In like manner, theperipheral edge 42 of the lower surface is preferably, but notnecessarily, upwardly angled, slanted or beveled.

The setscrew body 38 further has a bore 40 that extends axially throughthe body 38 from the upper surface 39 to the lower surface 41 and thusdefines an upper opening 91 and a lower opening 90, the lower opening 90configured as a rounded, spherical, or dome-shaped pocket in acomplementary manner to the dome/spherical shape of the bone screw head30. The pocket 90 has threads, serrations, or otherwise 43 about itsinner circumference and along its axial length. The threads, serrationsor otherwise 43 of the pocket 90 and theserrations/knurling/threads/helical cutout configuration(s) of the bonescrew head 30 engage one another to seize, bind or capture the bonescrew head 30 in order to fix the position/orientation of the bone screw13 when the setscrew 14 is received into the bone screw pocket of theplate 12 and compresses against the bone screw head 30.

FIG. 3 shows an assembled spine plate implant 10 with the two bonescrews 13 and the two setscrews 14 received in the bone screw pockets21, 23 of the bone screw bores 18, 20 of the respective bosses 17, 19 ofthe plate 12 a. The setscrews 14 have compressed against the bone screwheads 30 fixing their position/orientation relative to the spine plate12. In FIG. 3, the bone screws are shown fixed into a transverse or 90degree position/orientation relative to the spine plate 12 a. Of course,the bone screws 30 may be fixed into other positions/orientations asnecessary. Other spine plates 12 may be used.

It should be appreciated that dimensions of the formations, structures,and/or features of the present lateral spine plate implant and/or itscomponents may be altered as desired within the scope of the presentdisclosure.

What is claimed is:
 1. A lateral spine plate implant comprising: aplate, wherein the plate comprises a thickness, an upper surface, alower surface, and a plurality of bores separated by a span, each of theplurality of bores comprising: an upper portion extending a firstdistance into the thickness from the upper surface and having a rightcylinder configuration and interior threads around an innercircumference; a lower portion having a spherical configuration defininga textured interior seating surface; and a plurality of bone screws,wherein each of the plurality of bone screws comprises a head and athreaded shank extending from the head, the head having a sphericalconfiguration with a textured exterior surface; and a plurality ofsetscrews, wherein each of the plurality of setscrews comprises: agenerally cylindrical body having a bottom surface and a pocketextending into the body from the bottom surface, the pocket having atextured interior surface; exterior threads around an outercircumference of the cylindrical body; wherein orientation of each bonescrew is fixed during installation by: the exterior threads on thesetscrew threadably engaging the interior threads on the plate and thetextured interior surface of the setscrew directly engaging the texturedexterior surface of the head of the bone screw; the textured exteriorsurface of the head of the bone screw directly engaging the texturedinterior seating surface in the plate.
 2. The lateral spine plateimplant of claim 1, wherein each setscrew provides compression to thehead of the respective bone screw so the textured interior surface ofthe setscrew engage the textured exterior surface of the head of thebone screw and the textured exterior surface of the head of the bonescrew engage the textured interior seating surface in the plate.
 3. Thelateral spine plate implant of claim 2, wherein the engagement betweeneach setscrew and respective the head of the bone screw and theengagement between each head of the bone screw and the plate areconfigured to inhibit rotation of the bone screw relative to the plate.4. The lateral spine plate implant of claim 1, wherein each setscrewfurther comprises a top surface and a socket extending into the bodyfrom the top surface and in communication with the pocket to form a borethat extends axially though the body from top surface to the bottomsurface.
 5. The lateral spine plate implant of claim 4, wherein thesocket is configured to receive a setscrew installation tool.
 6. Thelateral spine plate implant of claim 1, wherein a peripheral edge of thebottom surface of the setscrews is angled.
 7. The lateral spine plateimplant of claim 6, wherein a peripheral edge of the top surface of thesetscrews is angled.
 8. An implant for attachment to lateral sides ofadjacent vertebrae of a spine, the implant comprising: a spine platecomprising: a base; a first boss extending from a first end of the base;a first bore extending through the first boss and the base, the firstbore comprising an upper portion and a lower portion, the upper portionhaving first internal threads, the lower portion having an annular,radially inwardly angled sidewall providing a first seat, the first seathaving a first textured seating surface; a second boss extending from asecond end of the base and spaced apart from the first boss; a secondbore extending through the second boss and the base, the second borecomprising an upper portion and a lower portion, the upper portionhaving second internal threads, and the lower portion having an annular,radially inwardly angled sidewall providing a second seat, the secondseat having a second textured seating surface; a first bone screw havinga first head and a first threaded shank extending from the first head,the first head having a first textured exterior surface; a second bonescrew having a second head and a second threaded shank extending fromthe second head, the second head having a second textured exteriorsurface; a first setscrew comprising: a body having a top surface, abottom surface, a socket extending into the body from the top surface,and a pocket extending into the body from the bottom surface, the pockethaving a first textured inner surface; first exterior threads around anouter circumference of the body; a second setscrew comprising: a bodyhaving a top surface, a bottom surface, a socket extending into the bodyfrom the top surface, and a pocket extending into the body from thebottom surface, the pocket having a second textured exterior surface;second exterior threads around an outer circumference of the body;wherein the first bone screw is fixed during installation by: the firsthead of the first bone screw seated in the first bore so that the firstthreaded shank extends from the plate; the first exterior threads on thefirst setscrew threadably engaging the first internal threads on theplate to compress the first head of the first bone screw against thefirst seat; the first textured inner surface of the first setscrewdirectly engaging the first textured exterior surface of the first headof the first bone screw; the first textured exterior surface of thefirst head of the first bone screw directly engaging the first texturedseating surface on the plate; wherein the second bone screw is fixedduring installation by: the second head of the second bone screw seatedin the second bore so that the second threaded shank extends from theplate; the second exterior threads on the second setscrew threadablyengaging the second internal threads on the plate to compress the secondhead of the second bone screw against the second seat; the secondtextured interior surface of the second setscrew directly engaging thesecond textured exterior surface of the second head of the second bonescrew; the second textured exterior surface of the second head of thesecond bone screw directly engaging the second textured seating surfaceon the plate.
 9. The implant of claim 8, wherein the engagement betweenthe first and second setscrews and respective first and second heads ofthe first and second bone screws and the engagement between first andsecond heads of the first and second bone screws and the plate areconfigured to inhibit rotation of the first and second bone screwsrelative to the plate.
 10. The implant of claim 8, wherein a peripheraledge of the bottom surface of both the first setscrew and the secondsetscrew is angled.
 11. The implant of claim 10, wherein a peripheraledge of the top surfaces of both the first setscrew and the secondsetscrew is angled.
 12. The implant of claim 8, wherein the first boreand the second bore are separated by a span, the span having a threadedbore configured to receive an implant installation tool.
 13. The implantof claim 8, wherein the socket in the first setscrew is in communicationwith the pocket in the first setscrew, and the socket in the secondsetscrew is in communication with the pocket in the second setscrew. 14.The implant of claim 8, wherein the pocket of the first setscrew has anupper ledge for engaging a generally planar upper surface of the firstbone screw when the first bone screw is received in the first seat ofthe first bore of the spine plate.
 15. The implant of claim 14, whereinthe pocket of the second setscrew has an upper ledge for engaging agenerally planar upper surface of the second bone screw when the secondbone screw is received in the second seat of the second bore of thespine plate.
 16. The implant of claim 8, wherein the socket isconfigured to receive a setscrew installation tool.